利用新型无定形固体分散技术平台提高达沙替尼和索拉非尼的生物利用度并降低其变异性。

IF 1.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Clinical Pharmacology in Drug Development Pub Date : 2024-05-29 DOI:10.1002/cpdd.1416
Hans Lennernäs, Magnus Brisander, Charlotta Liljebris, Gérald Jesson, Per Andersson
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引用次数: 0

摘要

尽管蛋白激酶抑制剂(PKIs)在临床上取得了进展,但许多 PKIs 的口服给药仍存在血浆暴露量变化大、治疗窗口狭窄等问题。我们开发了一种新型纳米颗粒-无定形固体分散体(ASD)混合技术平台,由嵌入聚合物基质的无定形 PKI 组成。该技术被用于生产两种酪氨酸激酶抑制剂(TKI)(达沙替尼和索拉非尼)的速释制剂。我们的主要目标是改善每种TKI的吸收特性并降低药代动力学(PK)变异性。我们将 XS004(达沙替尼-ASD,100 毫克片剂)和 XS005(索拉非尼-ASD,2 × 50 毫克胶囊)的 PK 与它们的晶体制剂参考药物(140 毫克达沙替尼参考药物和 200 毫克索拉非尼参考药物)进行了比较。达沙替尼-ASD和XS005-粒剂的体外生物药剂学结果表明,在pH值为1.2-8.0的范围内,其溶解度比晶体参考药物持续增加。在体内,XS004 在剂量降低 30% 的情况下具有生物等效性,并显示出更高的吸收和生物利用度,其受试者内和受试者间的变异性比参照物低 2.1-4.8 倍。XS005 的吸收率和生物利用度分别提高了 45%,变异性降低了 2.2-2.8 倍,但在研究剂量水平上不具有生物等效性。综上所述,该制剂平台适用于生产具有稳定生物利用度和减少 pH 依赖性吸收过程的改良 PKI 制剂。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Enhanced Bioavailability and Reduced Variability of Dasatinib and Sorafenib with a Novel Amorphous Solid Dispersion Technology Platform

Despite clinical advances with protein kinase inhibitors (PKIs), oral administration of many PKIs is associated with highly variable plasma exposure and a narrow therapeutic window. We developed a novel hybrid nanoparticle-amorphous solid dispersion (ASD) technology platform consisting of an amorphous PKI embedded in a polymer matrix. The technology was used to manufacture immediate-release formulations of 2 tyrosine kinase inhibitors (TKIs), dasatinib and sorafenib. Our primary objective was to improve the absorption properties and reduce the pharmacokinetic (PK) variability of each TKI. The PKs of XS004 (dasatinib-ASD, 100 mg tablet) and XS005 (sorafenib-ASD, 2 × 50 mg capsules) were compared with their crystalline formulated reference drugs (140 mg of dasatinib-reference and 200 mg of sorafenib-reference). The in vitro biopharmaceutics of dasatinib-ASD and XS005-granulate showed sustained increased solubility in the pH range 1.2-8.0 compared to their crystalline references. In vivo, XS004 was bioequivalent at a 30% lower dose and showed increased absorption and bioavailability, with 2.1-4.8 times lower intra- and intersubject variability compared to the reference. XS005 had an increased absorption and bioavailability of 45% and 2.2-2.8 times lower variability, respectively, but it was not bioequivalent at the investigated dose level. Taken together, the formulation platform is suited to generate improved PKI formulations with consistent bioavailability and a reduced pH-dependent absorption process.

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来源期刊
CiteScore
3.70
自引率
10.00%
发文量
154
期刊介绍: Clinical Pharmacology in Drug Development is an international, peer-reviewed, online publication focused on publishing high-quality clinical pharmacology studies in drug development which are primarily (but not exclusively) performed in early development phases in healthy subjects.
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